Overwhelmed isn’t the word!!

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Christina Howell

Member Since 2023
Our sweet girl (almost 13yrs old) was diagnosed on June 19th and started on 1u of Vetsulin. When we started, she wouldn’t eat anything and I had to syringe feed her for the first couple of shots and then she started eating on her own. She has completely perked up and is her normal self for the most part aside from her being so skinny and now she seems to be starving all the time. I asked my vet about me testing at home and was told it wasn’t necessary to do all that and that I could just bring her in once a week to have it tested there… needless to say, after joining this forum, I’ve purchased my own testing supplies but to say that I’m overwhelmed is a complete understatement!! We’ve switched her to Fancy Feast Pate which I was giving twice a day but she seems to always be hungry and she is already so skinny it worries me to death! How much should I be feeding her? Can I boil some chicken breasts to supplement her diet? Is there such a thing as too much if it’s a zero carb food? She really needs to gain weight! And I test her BEFORE feeding? And how do you know when to test after or how many times? This is so confusing and I’m so scared that I’m going to miss something and she’s going to get really sick again. I’ve done the signature SS thing but haven’t tested yet as I just got the stuff.
 
I understand completely but you’ve come to the right best place for diabetic cats so take a breath because we can help you navigate the uncertainty and ups and downs of feline diabetes!!

yes is the answer to your feeding questions. I’m going to copy what I just said to another new member since your food questions are exactly the same and you’re both using Vetsulin. There’s no need to feed him twice a day only. That’s very old-fashioned advice that works for dogs not cats, who as you mentioned, are grazers. It does, I’m afraid, go hand in hand with your vet’s selection of Vetsulin which is also called caninsulin because it was created for canines who have a much slower metabolism than cats. What this means is that it hits hard and fast and it’s short- lasting so your cat is not protected for a full 12 hours. Also please know that with Vetsulin you have to make sure your cat has food onboard at least 30 minutes before the shot because, again it hits fast. Back to feeding, smaller meals throughout the day are easier on their already compromised pancreas and help to avoid big sugar spikes. Most of us feed the 2 larger meals at shot time and smaller meals throughout the day. That can be just a smaller amount of the same food or low carb treats like freeze dried, regular chicken or turkey or even baby food. Any low carb treat like the Churu lickables even is a-okay. Unregulated cats also can’t process the nutrients in food well so they eat but are still hungry and will continue to lose weight. if she is hungry, feed her as much as she’ll eat right now. Diabetic cats also burn calories just by peeing since theirs sugar in their urine. My second diabetic cat Bobo was ravenous at first and I was feeding him a lot more then as he got regulated his apetite started to normalize again and once he went into remission, he was back to his finicky pick eater self.

We see a lot of vets here who treat their cat patients the same way they treat dogs because they don’t know a lot about feline diabetes. Unfortunately most vets do not know a lot about feline diabetes….they have many animals to look after and they all have differentdiseases and treatments. Vets also get their information about nutrition from the big cat food manufacturers so they are biased in what they recommend. I know it’s hard to not follow your vet’s guidance because we think they’re experts but my cat only got better when I stopped listening to my vet. And yes, I couldn’t call every time I had a question, which was multiple times a day, but I could post here and get folks who held my hand through it all!

With a diabetic cat you need:

  • A low carb wet diet that is 10% carbs or under. Most of us use around 4-7% carbs
  • A suitable insulin such as Lantus or Prozinc which are long acting, more gentle insulins than the old insulins.
  • We recommend hometesting the blood glucose with a human meter…it is not necessary to use a pet meter which is expensive to run and is no better. What meter did you get? It will keep your kitty safe and you will know how the dose is working for your kitty. Only testing every so often at the vet will not tell you what is happening in between those times and an awful lot can happen in even a day. You want to test at least 4 times a day, before each shot and then once more during the day and once more in the evening before going to bed so you can gauge how the overnight cycle is going to be. For the pre-shot tests, you need to make sure wuou withhold food for at least 2 hours before so you get the true bg value not influenced by food. You don’t have to do that for the other tests. In the beginning, you want to see numbers above 200 for the preshot tests as that’s a safe number to shoot.
  • HELP US HELP YOU has information about the spreadsheet, signature and hypo box which you will need to be able to look after your beloved kitty properly, especially on Vetsulin.
A word of warning though…don’t change the food you are feeding at the moment over to the low carb food until you are testing the blood glucose because a change over can drop the BGs by up to 100 points and we don’t want you to have a hypo on your hands.

We are happy to help you with setting up the spreadsheet, sorting out what food to buy, how to transition safely to a low carb diet, how to learn to home test and much more.

FOOD CHART have a look on this chart and choose foods that are under 10%. What’s the zero carb food you’re asking about? Is it dry or wet? Right now, you want to feed her as much as she wants. Don’t worry about calorie counting.

You will also need some higher carb foods for that hypo box..information in the help us help you link.

This is an excellent site for diabetic cats…it has been around for more than 25 years and has very experienced people to help you.

Keep asking lots of questions.

PS - You may want to share with your vet the guidelines from the American Animal Hospital Assnfor the treatment of diabetes in both dogs and cats. the AAHA no longer recommends Caninsulin/Vetsulin for treating feline diabetes.
 
So I just tested her as it would be time for me to feed her and then give an hour for her to have her shot. It was 413. She ate a 3 oz can of fancy feast pate in two seconds and would gladly take more. Should I give her more? The zero carb was talking about boiled chicken breast, if a cooked that to give her in between her canned cat food. She is ravenous and I want to feed her but I also don’t want to make her sicker!
 
Hi Christina and Roxi and welcome to the forum. It is overwhelming in the beginning but it sounds as if you are off to a good start. I’m glad you are hometesting. Very wise!
Ale has given you some good advice
So I just tested her as it would be time for me to feed her and then give an hour for her to have her shot
you just wait 30 minutes after feeding at shot time not 1 hour.

ate a 3 oz can of fancy feast pate in two seconds and would gladly take more. Should I give her more? The zero carb was talking about boiled chicken breast, if a cooked that to give her in between her canned cat food. She is ravenous and I want to feed her but I also don’t want to make her sicker!
Instead of feeding her more at preshot, I would feed her more during the cycle. So with vetsulin you could feed at +1 and +2 and +3 and then a bit later at +5. Or you could not give one of the earlier snacks and feed it a bit later. It is all trial and error until you find what works for Roxi. she will be very hungry until she becomes more regulated. This is normal in newly diagnosed diabetic cats as they can’t absorb all the nutrients in the food.
For snacks you can feed normal low carb food. Cooked chicken is also fine.
You don’t have to stick with 0% carbs. Under 10% carbs is fine, although most of us feed around 4-7% carbs.
Roxi is newly diagnosed and it is going to take time for everything to fall into place, so don’t expect it to happen quickly. Just keep testing the BGs, feed a low carb diet, posting here so we can help you, ask questions. You are doing a great job so far.
Do you have a hypo kit set up in case you need it.?
 
Hi and welcome to the group. You are so right, overwhelmed doesn't even tell half of the story!! I remember feeling like I was drowning and failing my boy. This group was like a life preserver that saved me and kept my head above water.

It is a bit of an information overload but take it slow, take deep breaths and do some self-care! Give yourself a treat now and then, as well as the cat. :)
 
Would someone mind taking a look at Roxi’s SS? There isn’t a ton of data (we had to be out of the house a lot yesterday) but I wanted to get opinions in the numbers I do have. I have to go in today to pick up syringes, should I ask my vet about upping her dose or is it still to early to tell? She’s been on 1u of insulin since the 19th but I just recently started testing. I feel like her numbers are still really high?
 
You’re testing enough during the day, just always try to get a testing in the pm cycle. A +2 or later. If you can aim for a +4 or +6 during the day, that would be good too since it seems to be when she’s having her nadir, lowest point in a cycle.

the numbers are high but I’ve seen higher and she did dip into the 200s when Vetsulin peaks at about +4. We need to see 7 days worth of data and then on 7/5, it would be a good idea to do a curve, if you can, and increase her dose to 1.25. We do the adjustments every 7 days unless your cat drops too low. If you ask your vet today, he’ll probably tell pyou to up it to 2 units. We do dose adjustments by 1/4 units by speeding the process you can speed right past the ideal dose. I’m just letting you know that our advice is not going to match your vet’s.
 
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